WORLD JOURNAL OF PLASTIC SURGERY
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Volume 9, Issue 2 (2020)
WJPS 2020, 9(2): 179-185 |
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M. Colazo J, F. Farinas A, Leonhard V, Valmadrid A, Kaoutzanis C, Thayer W P. Reconstruction of Upper Third Ear Defects: Utility of a Limited Tanzer Reduction. WJPS 2020; 9 (2) :179-185
URL: http://wjps.ir/article-1-570-en.html
URL: http://wjps.ir/article-1-570-en.html
Juan M. Colazo1 
, Angel F. Farinas2 , Vanessa Leonhard3 , Al Valmadrid1 , Christodoulos Kaoutzanis4 , Wesley P. Thayer 5
, Angel F. Farinas2 , Vanessa Leonhard3 , Al Valmadrid1 , Christodoulos Kaoutzanis4 , Wesley P. Thayer 5
1- Vanderbilt University, Medical Scientist Training Program, Nashville, TN
2- Oklahoma University, Section of Plastic Surgery, Oklahoma City, OK
3- University of Washington, Division of Plastic Surgery, Seattle, WA
4- UCHealth University of Colorado Hospital, Division of Plastic and Reconstructive Surgery, Aurora, CO
5- Vanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN , wesley.thayer@vumc.org
2- Oklahoma University, Section of Plastic Surgery, Oklahoma City, OK
3- University of Washington, Division of Plastic Surgery, Seattle, WA
4- UCHealth University of Colorado Hospital, Division of Plastic and Reconstructive Surgery, Aurora, CO
5- Vanderbilt University Medical Center, Department of Plastic Surgery, Nashville, TN , wesley.thayer@vumc.org
Abstract: (3565 Views)
BACKGROUND
Large ear defects (>3 cm) present a significant reconstructive challenge and often require extensive operations, which can lead to donor-site morbidity and contour abnormalities. Through our case series, we propose a limited Tanzer reduction, a novel modification of the well-recognized Tanzer technique, as a potential reconstructive option for traumatic and oncologic upper third ear defects.
METHODS
We retrospectively reviewed patients who underwent planned ear reconstruction for large ear defects (>3 cm) at a university center by a single surgeon (WPT) over a five-year period. Demographics, complications, and need for revision surgery were recorded. A satisfaction survey was also completed.
RESULTS
Five patients met our inclusion criteria as they underwent ear reconstruction with the limited Tanzer reduction. All reconstructions followed oncologic resection for cutaneous malignancy. The mean follow-up was 760.2 days. No complications were encountered, and no revisions were required. All cases had good aesthetic outcomes. The satisfaction survey revealed no self-image distortion or social obstacles following the reconstruction.
CONCLUSION
The proposed limited Tanzer reduction technique was shown to be a safe, viable, functionally and aesthetically pleasing option for the reconstruction of large defects of the ear and thus should be part of the armamentarium of the reconstructive surgeon.
Large ear defects (>3 cm) present a significant reconstructive challenge and often require extensive operations, which can lead to donor-site morbidity and contour abnormalities. Through our case series, we propose a limited Tanzer reduction, a novel modification of the well-recognized Tanzer technique, as a potential reconstructive option for traumatic and oncologic upper third ear defects.
METHODS
We retrospectively reviewed patients who underwent planned ear reconstruction for large ear defects (>3 cm) at a university center by a single surgeon (WPT) over a five-year period. Demographics, complications, and need for revision surgery were recorded. A satisfaction survey was also completed.
RESULTS
Five patients met our inclusion criteria as they underwent ear reconstruction with the limited Tanzer reduction. All reconstructions followed oncologic resection for cutaneous malignancy. The mean follow-up was 760.2 days. No complications were encountered, and no revisions were required. All cases had good aesthetic outcomes. The satisfaction survey revealed no self-image distortion or social obstacles following the reconstruction.
CONCLUSION
The proposed limited Tanzer reduction technique was shown to be a safe, viable, functionally and aesthetically pleasing option for the reconstruction of large defects of the ear and thus should be part of the armamentarium of the reconstructive surgeon.
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